Hosting organisation – which project are you interested in?

 

 

Application Form for the EVS program(European Voluntary Service)

 

 

Your sending organisation

Name: SFERA Movement

PIC number: 901052983

Address: Piskunova str., 27, Nizhny Novgorod, Russia, 603005

Phone: [phone]

E-Mail: [e-mail]

Contact person: Ms Irina Zhuchkova

 

Hosting organisation – which project are you interested in?

Name of the hosting organization/name of project:

When can you start the EVS?

 

 

Curriculum Vitae

 

photo

Last name:

First name:

Address (Street + number):

Postal code & City:

Country:

E-Mail:

Phone number:

 

Personal information

Gender:

Nationality:

Date of birth:

Place of birth:

Passport number:

Marital status:

Date of issue:

Date of expiration:

 

 

Person to contact in case of emergency (Name, address, phone and E-Mail)

 

 

Your language skills

Language (mark by “x”)

Native

Fluent

Good

Basic

German

 

 

 

 

English

 

 

 

 

French

 

 

 

 

Others, please specify:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please briefly describe your educational background

 

 

Please describe your previous work experience

 

 

Please describe your previous volunteer experiences

 

 

What are your hobbies?

 

 

How would you describe your personality? Your strengths and weaknesses?

 

What are the knowledge and skills you can give / share during the EVS experience?

 

 

What knowledge and skills do you hope to gain during your EVS experience?

 

 

Which problems do you think you could encounter during your stay abroad?

 

What are your future plans after the voluntary service with EVS?

 

 

Yes               No

Do you have special needs (medical conditions, disabilities)?

 

 

Do you need to take any kind of medication?

 

 

Do you have any allergies (pets, food, etc.)?

 

 

Do you special needs concerning food (vegetarian)?

 

 

 

è Please specify if you have answered yes to any of the above questions:

 

 

Yes               No

Do you smoke?

 

 

Can you accept living with a host family?

 

 

Do you hold a driver’s license?

 

 

 

 

Please describe carefully your motivation for the specific hosting organisation you have chosen: